Anyone had any revision after ESG?

[Lovesgirl 0]

I had the ESG with Dr. McGowan in Cary, NC Oct 14, 2021. VERY happy with him, all his staff and everyone at the Wake Med hospital. FIRST CLASS all the way! That being said. Day of surgery my weight was 253. This coming week is my 6 month anniv and I have lost down to 227. Yes it is great! but I was so hoping for more after 6 months. I reassure myself that my skin will adapt better by losing slower, I haven't had any Hair loss, etc. But I am 54 and ready to live my life! This baggage is in my way and keeping me from living my life the way I want to. A few months ago, the nurse put me on Topomax to help with cravings (as my insurance will not pay for Wegovey or other "weight loss" meds- I was a self pay for the surgery). Several months after the surgery I asked the question . . does the Dr. make everyones' stomach in surgery the same resulting 20% size?? or is everyone's different because ... Patient A's stomach could hold 5 lbs of food, and patient B could only hold 1 lb of food. So did they both end up with same size stomach pouch? The answer is no. He gives you stomach pouch that is 20% of YOUR stomach size. So that is why some people can hold more than others. Makes sense. Kind wish I had thought about it pre surgery though! I'd asked for an extra small one! LOL I don't feel a lot of restriction anymore.

So I am wondering where do I go from here?

Should I ask for a different medication or increased dose of topomax?

Does Dr. McGowan have a way to do a scan or ultrasound and see if your sutures have come loose or if your pouch has stretched out?

Do they have a way to do a revision and put in tighter sutures or make a smaller pouch? and if they do . . is it the same cost as the original surgery?

I know I am under their care program for a year that includes nutrition counseling, etc. Is there a cost to continue that after a year?

Anyone who knows answers, please let me know. I want to be able to think about things before my zoom call later this week.